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先天性心脏病大血管转位经采用Mustard手术以来,结果明显改善。本文回顾总结Mustard手术的近期和远期疗效,讨论手术的指证和方法。病例:1973年1月至1977年12月,采用Mus-tard手术治疗了81例2岁以下的大血管转位婴儿。年龄36小时至24月(平均9.2月),体重2.5～12公斤(平均6.7公斤),其中16例(20％)手术时年龄小于3月,6例(7％)小于1月。病儿分为四组:第1组61例为大血管转位而室间隔完整或伴小型室间隔缺损;第2组2例为大血管转位室间隔完整伴左心室流出道明显阻塞(左室压力>100毫米汞柱);第3组13例为大血管转位伴大型室间隔缺损,
Congenital heart disease with large vessel transposition Mustard surgery has improved significantly. This article reviews the short-term and long-term effects of Mustard surgery and discusses the indications and methods of surgery. Case: January 1973 to December 1977, the use of Mus-tard surgery in 81 cases under the age of 2 large vessel transposition of infants. They ranged in age from 36 hours to 24 months (mean, 9.2 months) and weighed 2.5 to 12 kg (average 6.7 kg). Of these, 16 (20%) had less than 3 months of surgery and 6 (7%) had less than 1 month of surgery. The sick children were divided into four groups: 61 cases in group 1 were transposition of large vessels with intact ventricular septum or with small ventricular septal defect; 2 cases in group 2 were complete occlusion of large transpositional ventricular septum with left ventricular outflow tract obstruction Room pressure> 100 mmHg); Group 3 13 cases of large vessel transposition with large ventricular septal defect,